Kaitlin Fosse, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0003721 Issued in CO

Practice address

6545 Gunpark Dr Ste 250
Boulder, CO 80301-3350

Phone

(303) 530-1973

NPI assigned

Jun 25, 2021

Last updated

Oct 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Indiana University - School of Optometry, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Visionary Eye Care, PLLCGroup PAC ID 9032440169, 3 clinicians

Myeyedr Optometry of Colorado PCGroup PAC ID 7113359415, 58 clinicians

Simple Optical IncGroup PAC ID 8123347515, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kfosse@coloradoeyegallery.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Myeyedr Optometry of Colorado PC

  dba MyEyeDr.

  • Optometrist
  • Parker, CO
  • NPI 1174170526
  Medicare reassignment Care Compare group NPD
• Simple Optical, Inc.

  dba Gunbarrel Optometry

  • Optometrist
  • Boulder, CO
  • NPI 1518352699
  Medicare reassignment Care Compare group NPD
• Visionary Eye Care, PLLC

  dba Visionary Eye Care

  • Optometrist
  • Broomfield, CO
  • NPI 1205482031
  Medicare reassignment Care Compare group NPD
• Colorado Coalition for the Homeless

  dba Stout Street Clinic

  • Federally Qualified Health Center (FQHC)
  • Denver, CO
  • NPI 1396793030
  Medicare reassignment NPD
• Colorado Coalition for the Homeless

  dba Stout Street Recuperative Care Center

  • Federally Qualified Health Center (FQHC)
  • Denver, CO
  • NPI 1841936572
  NPD
• Myeyedr Optometry of Colorado PC

  • Optometrist
  • Parker, CO
  • NPI 1164382842
  NPD
• Myeyedr Optometry of Colorado PC

  dba MyEyeDr.

  • Optometrist
  • Highlands Ranch, CO
  • NPI 1548817992
  NPD
• Optimal Eyecare, P.C.

  • Optometrist
  • Broomfield, CO
  • NPI 1487373858
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1760052559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6545 GUNPARK DR STE 250",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6545 GUNPARK DR STE 250",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013350",
            "telephone_number": "303-530-1973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5026 E Hampden Ave",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "80222",
            "country_code": "US",
            "telephone_number": "303-756-5900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 Zang St Ste I",
            "address_purpose": "LOCATION",
            "city": "Broomfield",
            "state": "CO",
            "postal_code": "800218235",
            "country_code": "US",
            "telephone_number": "720-887-6066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2130 Stout St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "80205",
            "country_code": "US",
            "telephone_number": "303-293-2220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOSSE",
        "first_name": "KAITLIN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-25",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "0003721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kfosse@coloradoeyegallery.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "address_1": "6545 Gunpark Dr Ste 250",
            "city": "Boulder",
            "state": "CO",
            "country_code": "US",
            "postal_code": "803013350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Karen Fortier
• Jeffrey Fortuna, LPC
• Molly Fortuna
• Niccole Fortunato, LPC
• Albert W Fosmire, PHARMD
• Rebecca V Fossel, PHD
• Patricia Lynn Foster, M.D.
• Rachel Foster, RN
• Aikaterini Fotiou
• Foundation for Scalable Innovations

• Optometrist in Boulder, CO
• Providers in Boulder, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.